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The Coronavirus Discussion Thread.

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I’ve just scored an scholarship for the unemployed to do an MSc module in Data Analysis and Simulation from Heriot Watt.

Congratulations! Python, R and SAS will be your friends. But the best skill for data analytics is an inquiring mind. Data analytics is the process of converting data into knowledge.

That said…..”hopefully things won’t head for a 6″…. isn’t good enough

OK, I'll be blunt: my work in Pharma makes me much more comfortable with uncertainty than most people. Including a lot of the meeja-profs/renta-voices you will hear with urgent comments on the most recent (usually interim and under-powered) data. I've seen a LOT of early clinical data for promising new drugs that never make it. Small trials give you a feel, not much more, for where we are going. The vaccine trials are small trials (on a population scale).

But Evolutionary Biology has a solid track record. The virus will generate antigenic drift and the efficacy of current vaccines will shift things down to a 5-6 eventually. But, the vaccines will change and we will be back up to a 1-2 (for mRNA and maybe spike proteins). Then the process will occur again. For influenza, that cycle is annual. For SASR-CoV-2 it may be slower due to the spike protein plasticity. Too early to say, but just like the other coronaviruses, reinfections will become milder and morbidity with reduce (unlike influenza which can have extreme shifts).

A reasonable time-frame for some form of reduced morbidity and mortality due to vaccination is 3Q21 in the UK. But endemicity and regular vaccination is probably another year or two away. That's based on how the biotechnology and Pharma industry works. You can sprint for a while, but eventually you have to settle to long-term pace.


 
Posted : 08/02/2021 8:18 pm
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You’ve been building up to that comment for a few hours now with all your military disaster analogies. Now that you’ve reached the climax of your disaster fapping, please don’t use the curtain on your way out

I dont think its an unreasonable position, the last year+ has sapped away everyone's optimism and tbh we had riots , well large protest marches, with a bit of statue wobbling, last year anyway


 
Posted : 08/02/2021 8:27 pm
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So likely result is :

Pfizer/Moderna will be given as much as poss to the most at risk.
AZ will do for now for the rest.
ASAP AZ will be remodelled for more variants and anyone who had it will get a booster in the autumn
As new vaccines (J&J, Novamax etc) roll out, they will get checked/adapted for nes variants.

Rinse and repeat for the next few years.


 
Posted : 08/02/2021 8:29 pm
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Novovax isn’t far off being put into arms in the grand scheme of things and is allegedly effective against the SA strain.

Valneva will hopefully be along later in the year too. Both manufacturing in the U.K. if that means anything.

I don’t see an alternative to the future beyond rinse and repeat. Annual vaccines has been an expectation from quite early on. And will be a thing for several years at a minimum.

Tbh, if we can actually vaccinate annually and successfully it’d seem like a best case scenario


 
Posted : 08/02/2021 8:56 pm
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I suspect we'll have some polyvalent mRNA vaccines which code for multiple variants of the spike protein. We may also have multivalent spike protein vaccines too with different variant proteins in the same dose. In time. But I think giving everyone some form of pre-existing immunity is the priority. That will allow some form of normality to return.


 
Posted : 08/02/2021 9:04 pm
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After the end of this lockdown, when we are in the summer with vaccination levels currently predicted - the public will want to see an exit strategy back to full normality relatively rapidly.

Remember how people clamored for it last summer? Now they have a vaccine and if they don't get normality, there are going to be questions to answer and heads rolling.

I am really worried about how we settle in to long term covid vaccine manufacturing that keeps up with worldwide demand as well - as you say, we can't sprint forever. We essentially have to recreate the capacity that we have for manufacturing flu vaccines, so we can do both on a long term basis at the same time - that's more facilities, more equipment, more materials, more trained staff, stronger supply chains, more R&D. It's a total mind ****. TJ mentioned a while back that it's hard to just magic new nurses out of thin air to boost capacity, well..... it's even harder to magic sterile injectable facilities out of thin air.


 
Posted : 08/02/2021 9:18 pm
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You’ve been building up to that comment for a few hours now with all your military disaster analogies. Now that you’ve reached the climax of your disaster fapping, please don’t use the curtain on your way out

It's the closest thing that we have in terms of being able to predict public support and the societal effects of the kind of intervention that is occurring at the moment.


 
Posted : 08/02/2021 9:21 pm
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Thanks everyone. Will be no use to my career prospects, more for personal intellectual development.

I can add it to my somewhat "eclectic" adult educational history:

Honours degree in Moral and Ethical Philosophy
MSc in Multimedia Design
Core Skills in Volunteer Management
Historical Curating and Archiving
Welding
Breadmaking
Cabinet Building
MSc in Brewing & Distilling
Professional Scrum Master

I feel my life requires direction.


 
Posted : 08/02/2021 9:30 pm
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That's an awesome list of achievements there.

Well done YGH.


 
Posted : 08/02/2021 9:32 pm
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Crikey. All I have is a handful of GCSEs.

Thanks again @Tired for your postings. Keeps me thinking forward in some way.


 
Posted : 08/02/2021 10:07 pm
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Will be interested to see how far antigenic drift can occur on the spike protein before it has negative impacts on the virus in terms of cell entry. It's structure can only shift so far before it starts inhibiting ace2 binding you would think.
Figuring out if and when this happens will be interesting though. Maybe it could be this that drives attenuation over time?


 
Posted : 08/02/2021 10:16 pm
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BBC News is now telling people exactly how easy it is to travel on a fake Covid-19 test certificate. "I needed to fly for work but couldn't afford the test, so I paid someone 50 quid to Photoshop it for me".

I'm not sure I take it quite the no-harm-no-foul attitude that they do.


 
Posted : 09/02/2021 10:17 am
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But it does highlight how we can’t run any system properly due to lack of funding/staff.

Same with quarantine
Same with Passenger Locator Forms
Covid Self isolation

It’s a long list of failures...


 
Posted : 09/02/2021 10:23 am
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. Now that you’ve reached the climax of your disaster fapping, please don’t use the curtain on your way out 😉

My prediction for the summer:

Have you got your bog roll and shotgun supplies in? 🙂


 
Posted : 09/02/2021 10:25 am
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Dammit, bog roll. That’s what’s missing from the shopping list!


 
Posted : 09/02/2021 10:32 am
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Can't get enough boll roll around here. It's pasta that's in short supply!

Looks like surge testing in Manchester not far from me is taking place in the coming days for the Kent variant.


 
Posted : 09/02/2021 10:42 am
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Looks like surge testing in Manchester not far from me is taking place in the coming days for the Kent variant.

I'm not sure I understand why we are surge testing for the Kent variant any more. It's overwhelmingly the predominant strain in all regions.

Unless I've misunderstood the reason for testing. Isn't it more likely they're looking for SA strain? That's the issue of concern, with known cases in the Darwen area.


 
Posted : 09/02/2021 10:53 am
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I'm surprised they don't know have a network of Covid testing stations linked to the sewage system. That would surely give a less random sampling?


 
Posted : 09/02/2021 10:56 am
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It would be a good plan for detecting future hotspots, the ability to test waste water to determine prevalence has been 'floated' since April of last year or thereabouts.

I suppose prevalence is so high at the moment that it would be of limited value, but testing in between peaks and following up positives with door to door testing would be an interesting approach.


 
Posted : 09/02/2021 11:00 am
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Yeah, I was thinking that sewage testing would be good for identifying (the spread of) new variants too.


 
Posted : 09/02/2021 11:04 am
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It's for a new variation of the Kent variant. My worry is that every time there is a notable mutation, it makes the news and is used in a negative way to scaremonger.


 
Posted : 09/02/2021 11:06 am
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I’m surprised they don’t know have a network of Covid testing stations linked to the sewage system. That would surely give a less random sampling?

Yes, we do that in Australia - works well: you should definitely get onto that

Here we go, fill ya boots: ABC news report


 
Posted : 09/02/2021 11:23 am
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TJ mentioned a while back that it’s hard to just magic new nurses out of thin air to boost capacity, well….. it’s even harder to magic sterile injectable facilities out of thin air

You're a little ray of drizzle aren't you? 😄

IMO it's probably a lot more achievable to get more vaccine production capability up and running in a shorter timescale than magicing up new nurses. It's 'just' a question of money and resource. When your situation is a shut down economy the first becomes available pretty fast and the second follows.

Still, panic now and beat the rush. 😉


 
Posted : 09/02/2021 11:23 am
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My worry is that every time there is a notable mutation, it makes the news and is used in a negative way to scaremonger.

reporting a new variant isnt scaremongering, the kent variant was able to spread through schools and communities and contribute to a huge rise in cases and deaths, that was newsworthy

and iirc the concern is that the kent variant has a new mutation that looks similar to the problematic one in the SA variant

convergent evolution!


 
Posted : 09/02/2021 11:28 am
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I can understand the optimism some people are showing but this strikes me as nuts:

Everyone's booking holidays.

I fear it's pretty much guaranteed that these holidaymakers - if they're allowed to go - will bring back one or multiple variants of the virus that are more resistant to current vaccines just in time for them to spread enough to be ready to run rampant over the winter.

One year of holidaying in the UK for everyone, if they want a holiday, would be a massive boost to getting closer to normality foe 2022/3 and onwards.


 
Posted : 09/02/2021 11:42 am
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My sis-in-law works for Tui

she says that booking for this summer have been way higher than expected

but the place we usually go to in Cornwall is booked up already for the whole summer!

all holiday firms are offeringa covid guarantee, so its pretty safe putting a deposit down


 
Posted : 09/02/2021 11:45 am
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IMO it’s probably a lot more achievable to get more vaccine production capability up and running in a shorter timescale than magicing up new nurses. It’s ‘just’ a question of money and resource. When your situation is a shut down economy the first becomes available pretty fast and the second follows.

That reminds me of this https://www.statista.com/chart/23885/coronavirus-vaccine-production-capabilities-by-country/

If anyone knows how they arrived at the U.K. manufacturing capacity of CV19 vaccines as 0.95 billion I’d be interested to know more details.

e.g. two shots into one person = two doses

Including supply chain elements, I’m sure I read some element of the Pfizer vaccine is produced in the U.K.

How much production in 2020 is in that total.


 
Posted : 09/02/2021 11:47 am
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IMO it’s probably a lot more achievable to get more vaccine production capability up and running in a shorter timescale than magicing up new nurses. It’s ‘just’ a question of money and resource. When your situation is a shut down economy the first becomes available pretty fast and the second follows.

Still, panic now and beat the rush

Graham1984 will confirm but brining new vaccine production online is not that easy at all, no matter how much money you throw at it, the process is complex and time consuming, with a lot of potentially rate limiting steps


 
Posted : 09/02/2021 11:48 am
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IMO it’s probably a lot more achievable to get more vaccine production capability up and running in a shorter timescale than magicing up new nurses. It’s ‘just’ a question of money and resource. When your situation is a shut down economy the first becomes available pretty fast and the second follows.

Still, panic now and beat the rush

I've been working on these projects since last August.

Sterile manufacturing requires trained and experienced clean room manufacturing technicians who are every bit as skilled as a nurse. Then there are the mountains of highly skilled support staff behind them.


 
Posted : 09/02/2021 11:51 am
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Nurses take 3 years, then another 2-3 to make ITU nurses...

I know some who started working in ITU last March who haven't had any formal training.


 
Posted : 09/02/2021 12:02 pm
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Yeah, it takes that long to train up a senior manufacturing technician as well - not to mention that most of them are graduates these days with 3 year degrees.

It's not like building cars where you can buy a load of robots to work the line and stick a bunch of idiots from Sunderland on either end, even then you have some very long lead time bits of equipment if you are building a new facility or expanding one.


 
Posted : 09/02/2021 12:06 pm
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t’s even harder to magic sterile injectable facilities out of thin air.

Vaccination centres don't have to be sterile. The key thing is preserving the cold chain. You don't even need to clean the skin provided it's not visibly dirty.


 
Posted : 09/02/2021 12:08 pm
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convergent evolution!

Well, if it is and it takes hold, we're pretty much back to square 1. I wasn't saying it shouldn't be reported, just the way it is reported.


 
Posted : 09/02/2021 12:09 pm
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Vaccination centres don’t have to be sterile. The key thing is preserving the cold chain. You don’t even need to clean the skin provided it’s not visibly dirty.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152481/

https://www.ema.europa.eu/en/documents/other/consideration-core-requirements-rmps-covid-19-vaccines_en.pdf

Aspects of the formulation and preparation of the vaccine should be discussed when they may
increase the risk of ADRs. e.g. a formulation where a diluent for reconstitution needs to be
added may affect sterility, leading to clinical reactions such as increased local reactions,
abscesses;


 
Posted : 09/02/2021 12:13 pm
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I fear it’s pretty much guaranteed that these holidaymakers – if they’re allowed to go – will bring back one or multiple variants of the virus

Quite probably. A couple of weeks in a quarantine hotel might focus their minds a bit.

that are more resistant to current vaccines just in time for them to spread enough to be ready to run rampant over the winter.

I'd be interested what the vaccine experts on here think about that as a risk. Presumably wider spread means more mutations so increased likelihood, but where do they see it on the "slight concern" to "OMG!" scale?


 
Posted : 09/02/2021 12:26 pm
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I’m surprised they don’t know have a network of Covid testing stations linked to the sewage system

They do, but the signal is quantitative rather than qualitative.

One year of holidaying in the UK for everyone, if they want a holiday, would be a massive boost to getting closer to normality foe 2022/3 and onwards.

Will be holidaying in UK again this year. Had a lovely time in Norfolk last year.


 
Posted : 09/02/2021 2:40 pm
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I can understand the optimism some people are showing but this strikes me as nuts:

Everyone’s booking holidays.

I fear it’s pretty much guaranteed that these holidaymakers – if they’re allowed to go – will bring back one or multiple variants of the virus that are more resistant to current vaccines just in time for them to spread enough to be ready to run rampant over the winter.

One year of holidaying in the UK for everyone, if they want a holiday, would be a massive boost to getting closer to normality foe 2022/3 and onwards.

WHAT about the people that work for the holiday companies? There will be no companies left to take you on holiday in 2022.


 
Posted : 09/02/2021 2:55 pm
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WHAT about the people that work for the holiday companies? There will be no companies left to take you on holiday in 2022.


 
Posted : 09/02/2021 2:56 pm
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Ha! I escaped from Norfolk aged 18!

We’ve booked to go sailing again in Greece, which can be rebooked if required. Yes, there’s flights, but it’s the complete self-isolating holiday, living on your own boat for a week, and eating in outside tavernas.


 
Posted : 09/02/2021 2:57 pm
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On a less positive note, one of my riding buddies admitted to hospital today with CV19. O2 and Dexa.


 
Posted : 09/02/2021 2:58 pm
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I know some who started working in ITU last March who haven’t had any formal training.

My dopey sister in-law is an NHS Speech therapist in London - she has had a number of phone-calls asking her to swap and do ITU nursing shifts..
She has no medical/clinical training beyond what is needed to be a speech therapist - just highlights how desperate the staff shortages are in some hospitals.


 
Posted : 09/02/2021 2:59 pm
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all holiday firms are offering a COVID guarantee, so its pretty safe putting a deposit down

I can see why people are taking the risk and booking a holiday -
Slim chance things will be normal enough to go - and if you've not booked then there is a risk that what you want will be booked up.
Worst case you'll be able to carry it over to 2022.

We've got 2 weeks in Lake Garda in August carried over from last year - i'm not cancelling it just yet, but pretty certain we won't be able to go.


 
Posted : 09/02/2021 3:02 pm
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I fear it’s pretty much guaranteed that these holidaymakers – if they’re allowed to go – will bring back one or multiple variants of the virus that are more resistant to current vaccines just in time for them to spread enough to be ready to run rampant over the winter.

One year of holidaying in the UK for everyone, if they want a holiday, would be a massive boost to getting closer to normality foe 2022/3 and onwards

People need/want something tangible to look forward to, we've been lockdown on and of for the best part of a year, people are fed up and the hope of perhaps getting some sun over the summer will really help some.

We're vaccinating at a great rate, numbers are dropping and , rightly or wrongly, people are starting to look to the future a little. Who can blame them?

I've not booking anything personally, but I sure as hell would love something to aim for that isn't just "existing" as we are now.


 
Posted : 09/02/2021 3:03 pm
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I’ve not booking anything personally, but I sure as hell would love something to aim for that isn’t just “existing” as we are now.

Yeah, I'd like the same, but I'm aiming low and ust hoping I can finish the bathroom at the house and have a working indoor toilet by spring. I like the idea of being able to take a Forrest without having to go outside in -17C and sit on a composting box.


 
Posted : 09/02/2021 3:17 pm
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My dopey sister in-law is an NHS Speech therapist in London – she has had a number of phone-calls asking her to swap and do ITU nursing shifts..

That might be a little unkind as she'll have some transferable skills in patients with swallow or breathing difficulties (a lot of post-stroke work requires speech therapists).


 
Posted : 09/02/2021 3:18 pm
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